Director, Medicare Product Development job in Long Beach

Long Beach, California - CA Molina Healthcare

Job Ref:	300001036756823
Employer:	Molina Healthcare
Sector:	Health Insurance
Qualifications:	Senior Qualified Actuary
Job Type:	Full Time
Salary and Benefits:	Competitive
Remote:	Yes
Location
Country:	United States
State/Province/County:	California - CA
City:	Long Beach
Post Code:	90802
Map:	(Show on map)
Description
Job Description JOB DESCRIPTION Job Summary This position is responsible for supporting development and pricing of Medicare products, which include MA-PD, D-SNP and MMP. KNOWLEDGE/SKILLS/ABILITIES The Director Medicare Product Development is a key member of a small team that is responsible for significantly contributing to Medicare strategy and growth. The product development department is the Company's go to expert for all matters relating to Medicare product development, including meaningful difference, benefits uniformity, TBC and what services constitute benefits under Medicare and SNP guidance. The director conducts research and helps the department liaison with marketing, sales, and the national contracting team. The position works with the actuarial department and applies automated tools to determine actuarial cost of changes in cost share and formularies for HMO and PPO MA-PD products and makes recommendations on benefit design including drug list to senior leadership. The position is responsible for preparing competitive market analysis reports for current and future markets and preparing strategic product development updates for senior leaders. Additional duties include the following: Works with the actuarial department to determine the cost of making changes in benefits design for dental, vision, OTC, transportation, and other benefits that cater to dual eligible. Engages VPs of government contracts at health plans to obtain feedback and direction on MMP benefits. Coordinates with the national contracting team to ensure vendor contracts are aligned with product design and approved bids and pricing. Reviews vendor contracts for dental, vision, transportation, etc. to ensure optimal rates and service. Leads the development of supplemental rider benefits plans. Leads QA process of Medicare and MMP PBP uploads to ensure accurate filing of intended plan designs. JOB QUALIFICATIONS Required Education BA/BS or equivalent experience Required Experience Five years + Medicare Advantage general experience, including familiarity with product development and bids Preferred Education Graduate studies To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

ref: (300001036756823) 10 days ago

Back to search results

Featured Jobs

MORE JOBS LIKE THESE

Director, Medicare Product Development job in Long Beach

Long Beach, California - CA Molina Healthcare

Location

Description

Featured Jobs

JOBSEEKERS

EMPLOYERS

ABOUT PROACTUARY

POPULAR JOBS

ADDRESS

Registration Number